Active NPI
Melissa Susan Trachtenberg, M.A., CCC-SLP
- Speech-Language Pathologist
- Durham, NC
National Provider Identifier
1053587345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5920
- Practice address
- 1515 W Pettigrew St
Rehabilitation Department
Durham, NC 27705-4821 - Phone
- (919) 416-9559
- NPI assigned
- May 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5920 | NC | Primary |
Addresses
Primary practice location
1515 W Pettigrew St
Rehabilitation Department
Durham, NC 27705-4821
Mailing address
1515 W Pettigrew St
Rehabilitation Department
Durham, NC 27705-4821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5920 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1053587345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 W PETTIGREW ST",
"address_2": "REHABILITATION DEPARTMENT",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 W PETTIGREW ST",
"address_2": "REHABILITATION DEPARTMENT",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054821",
"telephone_number": "919-416-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACHTENBERG",
"first_name": "MELISSA",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-06",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "5920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Angela Marie Palermo Towers, PA-C
- Anna Townsend, MS, RD, LDN
- Lauren Hope Townsend, LCSWA
- Mary Louise Townsend, PHARM.D.
- Linda Toyama-Yee
- Tracy J. Waters, DDS., PA (Carolina Smiles Dental Clinic)
- Elisabeth Tracy, MD
- Caroline Traczyk, RN, CRNA
- Trailhead Psychotherapy
- Emily Lauren Trambert Kylstra, MD, MPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.